Re: Prophy ABX for Elective C/S was Re: No Posts!
From: art fougner, md (evsono@pipeline.com)
Thu Nov 29 07:32:58 2007
Augmentin? That's a fairly high-powered antibiotic for prophylaxis.
Art
At Thu, 29 Nov 2007, Dr Eberhard Lisse wrote:
>
>Unless my memory fails me, this has been discussed ad nauseam here
>and Cochrane unequivocally states that a one shot intra-operative
>prophylaxis reduces infection rates, bothe for emergencies (ie C/S)
>and (supposedly) clean operationes (TAH).
>
>And, if I am not mistaken low income (:-)-O) Antibiotics do as well
>as expensive ones. Our ICU honcho suggested Augmentin and if that's
>not available (in the Public Hospital) Ampicillin. Works very well
>for me.
>
>el
>
>on 11/29/07 3:05 AM R. Daniel Braun said the following:
>> What is your infection rate on elective sections who don't get
>> antibiotics? If it is less than 5%, giving prophylactic antibiotics is
>> probably not justified.
>> In a healthy upper S-E population, and with a surgeon who handles tissue
>> gently and hardly ever takes more than 25 minutes, less than 5%
>> puerperal morbidity should be expected without antibiotics.
>>
>> Dan
>>
>> On Nov 28, 2007 5:10 PM, Andrew Folley <agfolley@hotmail.com
>> <mailto:agfolley@hotmail.com>> wrote:
>>
>> No we do not. My understanding is it is not necessary. However we
>> are doing surgical antibiotic prophylaxis on all c-sections elective
>> and emergency. agf
>>
>> <http://www.windowslive.com/connect.html?ocid=TXT_TAGLM_Wave2_newways_112007>
>>
>> --
>> R. Daniel Braun, MD FACOG(L) CMT
>> Professor Emeritus
>> Dept. of Obstetrics and Gynecology
>> Indiana U. School of Medicine
>>
>> R. Daniel Braun
>>
>> "Science without Religion is LAME; Religion without Science is BLIND"
>> Einstein 1941
>
>--
>Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
>el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
>PO Box 8421 \ / Please do NOT email to this address
>Bachbrecht, Namibia ;____/ if it is DNS related in ANY way
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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